are various medical reports that are filed in the medical records with tabs that label the source, such as lab, x-ray, consultations, and special studies

Well, l think that some effective communication is, emotional barriers and lack of attention, interest distraction or irrelevance. also some physical disabilities such as hearing problems or speech difficulties.      l hope i am correct  and you good luck.

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Not sure exactly what kind of answer you are looking for so i hope this able to be a effective listener and also being  a good conversationalist. and most of all just being there when someone needs you.i hope this .